Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Management Nurse Consultant

CVS Health

CVS Health is seeking a Registered Nurse for Utilization Management in a full-time role based in the United States. The position requires a current RN license, 2+ years in adult acute/critical care, and experience with utilization management processes.

You will assess care needs, coordinate services, and render coverage determinations while communicating with providers. The role supports a 24/7 operation with schedules including weekends and evenings.

#J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant in United States vacancy
  •  ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across the continuum of care. This role requires...  ..., and effective communication. A BSN is preferred; remote work is supported within the state(s) of residence.... 
    Remote work

    CVS Health

    United States
    5 days ago
  •  ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration... 
    Remote work
    Afternoon shift

    Anacalifornia

    United States
    4 days ago
  •  ...CVS Health in West Virginia is seeking a Medicare Precertification Utilization Management Nurse Consultant to support a 24/7 operation and remote work from home. The role requires strong nursing credentials, Med/Surg exposure, and utilization management experience.... 
    Remote work
    Work from home

    CVS Health

    Charleston, WV
    5 days ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant (Remote) to support Florida Medicare home-care requests. You will review cases, determine coverage, and coordinate with providers to ensure timely, appropriate care. The role emphasizes clinical judgment,... 
    Remote work
    Full time

    CVS Health

    United States
    2 days ago
  •  ...CVS Health is hiring a Registered Nurse for Utilization Management in California. This full-time role supports a 24/7 operation with weekend, holiday...  ..., an active RN license, and strong communication. A remote work setup within the state is required, with equipment provided... 
    Remote work
    Full time
    Weekend work
    Afternoon shift

    California Nursing Students Association

    United States
    4 days ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant (RN) to work remotely on prior authorization and utilization management. You will review requests, assess medical necessity, and apply clinical criteria to support decisions, collaborating with providers and... 
    Remote work

    CVS Health

    Baton Rouge, LA
    4 days ago
  •  ...CVS Health in the United States is seeking an experienced Utilization Management Nurse Consultant (RN) to join our remote team. You will review prior authorization requests, evaluate medical necessity, and apply clinical criteria to support timely, cost-effective care... 
    Remote work

    CVS Health

    United States
    4 days ago
  •  ...CVS Health is seeking an experienced Registered Nurse to join the Utilization Management team in a remote role. You will review clinical information, apply evidence-based criteria, and collaborate with providers to ensure appropriate, high-quality care and benefits for... 
    Remote work

    CVS Health

    United States
    1 day ago
  •  ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage decisions in a remote, full-time role. You will collaborate with providers and care teams, apply clinical judgment, and support utilization and benefit management... 
    Remote work
    Full time
    Work at office

    CVS Health

    Butlerville, IN
    1 day ago
  •  ...CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information, and applying guidelines to support appropriate benefits for members. You will collaborate with providers and internal... 
    Remote work
    Weekend work
    Afternoon shift

    CVS Health

    Sacramento, CA
    5 days ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in Indiana. The role uses clinical expertise to assess and coordinate care, determining coverage decisions and communicating with providers to ensure appropriate services. Strong... 
    Remote work
    Afternoon shift

    CVS Health

    Muncie, IN
    5 days ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) for a remote, full-time role. You will review cases, coordinate care, and apply clinical judgment to support decisions, serving as a resource across stakeholders.... 
    Remote work
    Full time
    Weekday work

    CVS Health

    Bismarck, ND
    5 days ago
  • $26.01 - $62.32 per hour

     ...bigger - helping to simplify health care one person, one family and one community at a time. RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) Remote | Full-Time | Monday-Friday (9:00 am to 5:30 pm in your time zone, with occasional evenings/... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Health

    Guin, AL
    4 days ago
  •  ...CVS Health is seeking an experienced Utilization Management RN to join our remote team. You will review authorization requests, assess medical necessity...  ...Qualifications include an active RN license (multi-state preferred), 3+ years of nursing, 2+ years in UM/PriorJ-18808-Ljbffr... 
    Remote work

    CVS Health

    Bastrop, LA
    2 days ago
  • $26.01 - $62.32 per hour

     ...– helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Health

    Sioux Center, IA
    5 days ago
  • $29.1 - $62.32 per hour

     ...determined in collaboration with management to ensure adequate weekend...  .... Position Summary Utilize your clinical experience and...  ...and benefit utilization. Consult and lend expertise to other internal...  ...Registered Nurse Education: Diploma RN acceptable... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Shift work
    Weekend work

    CVS Corporation

    United States
    5 days ago
  •  ...CVS Health is seeking an Utilization Management Nurse Consultant for Medicare precertification, remotely accepting applications nationwide. The role emphasizes clinical judgment and collaboration to ensure appropriate care timing and treatment, aligning with Medicare guidelines... 
    Remote work
    Work at office

    CVS Health

    Oklahoma City, OK
    3 days ago
  •  ...CVS Health is seeking a Registered Nurse for Utilization Management. This remote, full-time role requires 2+ years in adult acute/critical care, an active RN license, and readiness for a 24/7 schedule including weekends and holidays. You will assess, plan, implement... 
    Remote work
    Full time

    CVS Health

    United States
    1 day ago
  •  ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive the right care at the right time. You will review cases, collaborate with providers, and use evidence-based guidelines... 
    Remote work
    Full time
    Local area
    Monday to Friday
    Afternoon shift

    CVS Health

    United States
    1 day ago
  • $26.01 - $74.78 per hour

     ...one family and one community at a time. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in CST or EST time zones...  ...of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Weekend work
    Afternoon shift

    CVS Health

    United States
    1 day ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote role supporting EST/CST time zones. The position requires 2+ years of RN experience, current unrestricted RN licensure, and ability to work weekends/evenings as part of a 24/7 operation. The... 
    Remote work
    Work at office
    Weekend work
    Afternoon shift

    CVS Health

    Austin, TX
    1 day ago
  • $26.01 - $56.14 per hour

     ...CVS Health Utilization Management Position We're building a world of health...  ...Schedule: 3-11 or 11-8 Location: Remote (Central Time)...  ...and benefit utilization Consults and lends expertise to other...  ...experience as a Registered Nurse in adult acute care/critical... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Afternoon shift

    CVS Corporation

    United States
    21 hours ago
  • $32.01 - $68.55 per hour

     ..., each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days... 
    Remote work
    Hourly pay
    Full time
    Local area
    10 hours per week
    Flexible hours

    The Muse

    Albany, NY
    2 days ago
  • $29.1 - $62.32 per hour

     ...About This Role The Utilization Management Nurse Consultant at CVS Health is responsible for assessing, planning, implementing, and coordinating healthcare...  .... Highlights Pay: $29.10 - $62.32/hour Location: Remote, CO Schedule: Full-time, Monday through Friday, 9:00am... 
    Remote work
    Full time
    Work at office
    Monday to Friday

    CVS Health

    Denver, CO
    5 days ago
  • $29.1 - $62.32 per hour

     ...Utilization Management Nurse Consultant### Utilization Management Nurse ConsultantApply: Remote: NH - Work from home: Work At Home-Arkansas: Work At Home-Idaho: Work At Home-Ireland: Work At Home-Georgia: Full time: Posted Today: End Date: November 27, 2026 (28 days left... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Afternoon shift

    CVS Health

    New York, NY
    4 days ago
  • $26.01 - $68.55 per hour

     ...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate...  ..., one family and one community at a time. Fully remote with requirement to work the following schedule:... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Monday to Friday
    Weekend work

    CVS Health

    Colville, WA
    3 days ago
  • $26.01 - $56.14 per hour

     ...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health...  ..., is a URAC-accredited medical management organization founded in 1993. We provide...  ...complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review,... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    CVS Health

    United States
    5 days ago
  • $26.01 - $74.78 per hour

     ...of something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Registered Nurse (RN) - Remote Make a meaningful impact on patient care from wherever you work. We are seeking an experienced... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Afternoon shift

    CVS Health

    Doral, FL
    3 days ago
  • $29.1 - $62.32 per hour

     ...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Management Nurse Consultant based in Canada. We are seeking an experienced Registered Nurse to join a remote Utilization Management team in a non-... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Afternoon shift

    Jobgether

    New York, NY
    4 days ago
  • $60.53k - $129.63k

     ...Health, is a URAC-accredited medical management organization founded in 1993. We...  ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment...  ...information from providers. Remote Work Expectations This is a 10... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    CVS Health

    Arizona
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Management Nurse Consultant. Be the first to apply!